Progressive supranuclear palsy (PSP): clinical features

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Progressive supranuclear palsy (PSP): clinical features. Oculomotor dysfunction, Postural instability, Akinesia. Fully referenced neurology checklist.

Core clinical domains

  • Oculomotor dysfunction
  • Postural instability
  • Akinesia
  • Cognitive dysfunction

Facial features

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Ophthalmic features

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Postural and gait abnormalities

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Bulbar features

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Applause sign

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Postural signs

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Speech impairments

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Other features

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Premorbid features

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Poor prognostic markers

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References

  1. Williams DR, Lees AJ. Progressive supranuclear palsy: clinicopathological concepts and diagnostic challenges. Lancet Neurol 2009; 8:270-279.
  2. Litvan I, Agid A, Calne D, et al. Clinical research criteria for the diagnosis of progressive supranuclear palsy (Steele-Richardson-Olszewski syndrome): report of the NINDS-PSP International Workshop. Neurology 1996; 47:1-9.
  3. Brazis PW, Masdeu JC, Biller J. Localization in Clinical Neurology. Lippincott Williams & Wilkins Philadelphia 2007 p445.
  4. Rojo A, Pernaute RS, Fontan A, et al. Clinical genetics of familial progressive supranuclear palsy. Brain 1999; 122:1233-1245.
  5. Höglinger GU, Respondek G, Stamelou M, et al; Movement Disorder Society-endorsed PSP Study Group. Clinical diagnosis of progressive supranuclear palsy: The movement disorder society criteria. Mov Disord 2017; 32:853-864. 
  6. And 24 more. Subscribe to see the full list

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